Austin-Travis County EMS System Office Of The Medical Director

#Prehospital #Emergency #Ambulance #Paramedics #Aemt #Fitness #Mental Health #Emergency Medicine #Science #Medicine #Podcasting Education #AustinTravis County EMS System Office Of The Medical Director #EMS #Medical #EMTs

16:31

What’s harder—building a global marketing strategy from scratch, or educating your organization on why it matters in the first place? Today’s guest has done both—twice. Sangeeta Prasad is the Chief Marketing Officer of Slalom, a global business and technology consulting firm with $3 billion in revenue and a presence in over 40 markets. With three decades of marketing experience—across brands like Procter & Gamble, American Express, and Chase—Sangeeta has spent her career not just building campaigns, but building belief in the power of marketing. About Sangeeta Prasad Sangeeta is the Chief Marketing Officer at Slalom. She joined Slalom as its very first chief marketing officer in 2020 and now leads a global team of 160 marketers in seven countries. Leveraging Slalom’s strong industry reputation as a consulting company that helps thousands of clients, Sangeeta is building a friendly, engaging brand that reflects the success of the company’s 13,000+ employees worldwide. Her goal is to make the Slalom brand as big as its business, which is experiencing record growth. To do this, she’s transformed a company that relied on traditional marketing into one that thrives on human-based marketing. This is the second time she’s joined a company as its first CMO – also at Russell Reynolds – bringing a strong portfolio of consumer and B2B experience from P&G, Chase and American Express. She lives with a global mindset having started her career in Australia and worked and lived across Asia for years. Sangeeta is known for her courageous yet adaptable leadership style and ability to build consensus across many cultures. Most of all, her leadership style and work are anchored in Slalom’s differentiated “fiercely human” approach to client and partner relationships. Sangeeta’s sophisticated marketing expertise pivoted Slalom’s volume-based tactics into human-based marketing, which combines customer insights with a scalable, consistent methodology to promote relationships. She helped prioritize full-journey marketing and what specific clients care about, including an approach to surround Slalom’s customers around the world with personalized messaging. Resources Slalom: https://www.slalom.com Don't Miss MAICON 2025, October 14-16 in Cleveland - the event bringing together the brights minds and leading voices in AI. Use Code AGILE150 for $150 off registration. Go here to register: https://bit.ly/agile150 Keep up with the latest B2B Marketing insights by following the B2B Agility Podcast: https://www.b2bagility.com Connect with Greg on LinkedIn: https://www.linkedin.com/in/gregkihlstrom Check out The Agile Brand Guide website with articles, insights, and Martechipedia, the wiki for marketing technology: https://www.agilebrandguide.com…

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From the Austin-Travis County EMS System Office of the Medical Director, this blog will cover topics of prehospital care, emergency medicine, tactical medicine, rescue, community paramedicine, disaster response, and public health. Expect to hear medical pearls, the latest research, reviews of anything as it relates to EMS.

54 episodes

Austin-Travis County EMS System Office of the Medical Director » Uncategorized

Austin-Travis County EMS System Office of the Medical Director » Uncategorized explicit

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Austin-Travis County EMS System Office of the Medical Director » Uncategorized

1
Mental Health for First Responders, with special guest Dr. Joseph Martin (audio) 1:18:07

il y a 3 years1:18:07

1:18:07

Today I sit down with Dr. Joseph Martin, (IG: @JaTXerd) a Family Practice and Addiction Specialist who is now an EMS physician, to talk about mental health in our first responders. Spoiler alert: it has a lot to do with sleep deprivation, uncertainty, community, and organizational support.

Austin-Travis County EMS System Office of the Medical Director » Uncategorized

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Quick Bite: Carbon Monoxide 11:20

il y a 3 years11:20

11:20

Cold weather incoming! This is just a quick review of carbon monoxide poisoning treatment options, as well as what differentiates cold water immersion from regular drowning. We anticipate an increase in the number of Carbon Monoxide (CO) related calls in the system as people use charcoal grills and generators for heating. Symptoms include headache, nausea, vomiting, dizziness, syncope, altered mental status, and neurologic symptoms such as weakness, numbness, or paresthesia. During these winter events we frequently have calls with multiple patients. Anyone with RED FLAGS should be treated with 100% oxygen and transported to the hospital. These include: Pregnancy Cardiac history like arrhythmia, MI, CHF Significant pulmonary history like COPD or pulmonary fibrosis Neurological symptoms, even mild ones like paresthesias or numbness Altered mental status Emotional changes, which could be indicative of altered mental status Chest pain Difficulty breathing Neurologic symptoms may be subtle so it is vital that you do a thorough neurologic exam and ask specifically about numbness, tingling, and weakness. Treatment for CO poisoning is administration of 100% oxygen. For those with priority symptoms, hyperbaric treatment may be indicated. CO >25%: Start 100% oxygen and transport to the hospital, regardless of whether or not they have red flags. CO <25%: Start 100% oxygen. If they have red flag symptoms, transport to the hospital. If no red flags, may treat in place with oxygen until symptoms resolve and then complete a refusal. CO <15% with no symptoms: No treatment or transport is indicated. Consider STARFlight and direct transport to University Hospital in San Antonio for hyperbaric treatment for anyone with elevated CO level who is severely ill (unconscious, arrest with ROSC, stroke-like symptoms)…

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Push Dose Pressors for EMS: Epinephrine and Norepinephrine 16:32

il y a 3 years16:32

16:32

Sometimes a small dose of epinephrine or norepinephrine can keep a patient from becoming hypotensive during intubation, or may help bridge the patient to a continuous infusion. Dr. Pickett talks about simple methods for mixing and administering push doses of these pressors and how to administer the infusion. NOTE: It is ASSUMED you already know the indications, contraindications, and side effects of these drugs. This video is NOT a comprehensive review of these medications. Available on YouTube, iTunes, Google Play, and Feedburner! https://youtu.be/__PWK4P85xc…

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Thinking: Abdominal Pain with Ginger Locke from the Medic Mindset 1:08:01

il y a 3 years1:08:01

1:08:01

Like Starsky and Hutch, like peanut butter and jelly, like Riggs and Murtaugh, the inseparable duo is back together for Medic Mindset for an episode of the Thinking Series, this time on abdominal pain. Feast your ears, ladies and gentlemen, boys and girls. The audio is like butter. Available on YouTube, iTunes, Google Play, and Feedburner! https://youtu.be/qCpk3f3zPP8…

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Snakebites! with Dr. Spencer Greene (@ToxSpencer) 44:13

il y a 4 years44:13

44:13

Snakebites are a common patient encounter for #EMS here in Texas, though virtually all states have venomous snakes of one kind or another. Dr. Spencer Greene (@ToxSpencer) walks us through some pearls and pitfalls of caring for these patients. TL;DW: “Dry bites” are very uncommon. Most victims are not drunk young males that are intentionally messing with wildlife. Most are people who didn’t even know the snake was there. Don’t mess with wildlife. Snakes are not aggressive. They want to be left alone. Admire from a distance. If you leave them alone, they’ll leave you alone. Do NOT bring the snake to the ER. Taking a picture of it might be helpful. Any bruising or swelling from a snakebite indicates envenomation and should be treated aggressively. For crotalid bites (rattlesnake, copperhead, cottonmouth), raise the affected limb to reduce pain and swelling. For elapid (coral snake) bites, keep the limb level. No extractors, no sucking out the venom, none of that silliness. No tourniquets or constricting bands or pressure dressings. Applying these items may cause more tissue damage and pain. Snakebites are painful. Treat the pain. Watch here on YouTube: https://youtu.be/WGjy_mBsZD4 From the City of Austin, TX, this is the Austin/Travis County EMS System Office of the Medical Director channel. We will talk all things prehospital care here. It will be informative, it will be fun, it will be very poorly edited and not rehearsed.…

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Episode 49: Icepocalypse 48:55

il y a 4 years48:55

48:55

YES I KNOW THE THUMBNAIL HAS EPISODE 4 and it’s episode 49. But we have a YouTube channel now so that’s why we have different episode numbers. It’s less confusing than renumbering everything. ANYwhomst, this is our takedown of the week long winter weather event that crippled the region starting around Valentine’s Day. The impacts to EMS were many and required a lot of creative thinking by responders. We are so proud of the bravery, ingenuity, and dedication that they showed during this event. Got some time? This is the story.…

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Episode 48: COVID…Vaccines 21:54

il y a 5 years21:54

21:54

Vaccines are finally available. I’m getting mine, and you should too. How do they work? Are they safe? What are the side effects? What are the particulars of administration?

Austin-Travis County EMS System Office of the Medical Director » Uncategorized

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Episode 47: COVID…Bamlanivimab 6:49

il y a 5 years6:49

6:49

Bamlanivimab is a monoclonal antibody for treating mild to moderate COVID-19. You’ve probably heard of it as it has rolled out here in Texas in force. What does it do and how is it given?

Austin-Travis County EMS System Office of the Medical Director » Uncategorized

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Episode 46: What is Operation Warp Speed? 8:45

il y a 5 years8:45

8:45

Operation Warp Speed is a public-private partnership that has helped speed development of vaccines and treatments for COVID-19. But what does that mean for safety of these treatments? TL;DR: The program does not cut safety corners. It supports industry to rapidly develop capability without the financial risk usually associated with experimental therapies.…

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Episode 45: Ketamine for suicidal ideation 13:54

il y a 5 years13:54

13:54

This study looks at an intriguing concept: What happens when you give an acutely suicidal patient ketamine in the ED? This study intrigued me so I thought I’d cover it. This study will not change your practice but will hopefully interest you in participating in research on the topic. TL;DR/TL;DL: DON’T START DOING THIS YET. IT NEEDS MORE STUDY. But it is promising. Citation: Domany Y, Shelton RC, McCullumsmith CB. Ketamine for acute suicidal ideation. An emergency department intervention: A randomized, double-blind, placebo-controlled, proof-of-concept trial. Depress Anxiety. 2020 Mar;37(3):224-233. doi: 10.1002/da.22975. Epub 2019 Nov 16. PMID: 31733088. Strengths: Randomized placebo controlled design. Disposition and care for patients was determined before randomization, so study drug not likely to affect care delivered. Close assessment at multiple points. Administration protocol was over 5 min, so very conducive to the ED environment. Weaknesses: Too small to really tell us how effective this treatment is, though there is a body of literature that supports it in other settings. Evaluation of patients was thorough, more than what could be expected of a prehospital provider without substantial training. Study setting was an ED, not EMS. Does not answer the question of whether patients can be safely discharged to outpatient mental health treatment after receiving this drug.…

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Episode 44: Data and outcomes in EMS 43:47

il y a 5 years43:47

43:47

The Health Data Exchange allows the flow of information between EMS charts and the hospital chart, helping us to easily look at outcomes and how EMS care has affected the patient. The best way to check your own knowledge and understanding of prehospital care is to know how the patient turned out. Was your diagnosis right? Did they decompensate after transport? Scan the patient’s sticker into our electronic patient care record and you can find this out. In this episode I sit down with 4 very special guests: Travis Baker, PA-C, our own Paramedic Practitioner; Remle Crowe, PhD, Data Scientist for ESO Solutions; Jason Gilliam, LP, Designated Medical Officer and Captain at ATCEMS; and Bill Leggio, EdD, our Clinical Standards and Practice Coordinator to talk about what we gain from this.…

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Episode 43: What if… 10:55

il y a 5 years10:55

10:55

“What if” can be anxiety provoking and can send you down a rabbit hole of undesirable futures. But it can also be a powerful tool for the clinical preceptor and the clinician who is looking to improve their performance.

Austin-Travis County EMS System Office of the Medical Director » Uncategorized

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Episode 42: COVID- A few words 7:47

il y a 5 years7:47

7:47

I don’t know if this is particularly profound, but I just wanted to offer some words of encouragement.

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Episode 41: COVID CPAP, nebs, epi, terbutaline, proning 12:42

il y a 5 years12:42

12:42

We talk about a whole bunch of different interventions that have been recommended or not recommended and discussed our logic behind them here.

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Episode 40: COVID in Cardiac Arrest 10:20

il y a 5 years10:20

10:20

Are there better ideas for managing cardiac arrests in this pandemic? We talk about modifying response (don’t), calling it early (maybe if we have good info), airway management (you’ve got some choices here), and limiting provider exposure (always).

Austin-Travis County EMS System Office of the Medical Director » Uncategorized

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Episode 39: COVID- Tests! (and getting out of quarantine) 12:51

il y a 5 years12:51

12:51

Here we talk about the tests that are available. How they work, when they work, and why we don’t have a good one to get us out of quarantine early.

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Episode 38: COVID- Task Forces 14:00

il y a 5 years14:00

14:00

There are a myriad of task forces in the response to COVID in Austin and Travis County. Here we talk about ones inside the Medical Branch.

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Episode 37: COVID- Isolation Facilities and Alternate Care Sites 19:58

il y a 5 years19:58

19:58

What happens when we reach surge capacity at the hospitals? Where do patients go if they don’t have a home where they can safely quarantine? What about our nursing home patients? In this episode, we detail the plans for all of these patients.

Austin-Travis County EMS System Office of the Medical Director » Uncategorized

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Episode 36- COVID: What about my ACE inhibitors 2:41

il y a 5 years2:41

2:41

SUPER short one today about COVID and ACE inhibitors (-pril) and Angiotenstin Receptors Antagonists, like Angio Recept Antag. Maybe ang rec ant. Or artan. Artans yeah, that’s it.

Austin-Travis County EMS System Office of the Medical Director » Uncategorized

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Episode 35- COVID: New therapies, and can I use ibuprofen? 6:30

il y a 5 years6:30

6:30

We talk about some of the things you’ve seen in the news lately about treatments that might help COVID. AND WHAT DO THEY MEAN I CAN’T TAKE IBUPROFEN? *sad Army Doc noises*

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Episode 34: COVID-19, part 2. When can I go back to work? 4:28

il y a 5 years4:28

4:28

I hate you. So, you caught the COVID. You have endured the fever, cough, sore throat, diarrhea, and abject boredom of being home. When can you be let out of this prison? In this micro episode we talk about the return to work criteria. BLUF: No, you don’t have to be in quarantine forever.

Austin-Travis County EMS System Office of the Medical Director » Uncategorized

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Episode 33: COVID-19, Part 1 30:03

il y a 5 years30:03

30:03

This little jerk right here. Covid is now a pandemic, the real kind, the not-the-zombie-kind. In this episode we talk about what the Office of the Medical Director, Austin Public Health, and Austin/Travis County EMS is doing to respond to what is now a declared disaster.

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Ep 32: Talking with the Union Prez 45:42

il y a 6 years45:42

45:42

Buy in from the workforce is necessary to bring any useful change to an organization. While unions and leadership are often set against each other, the things they can accomplish when they work together far exceed those they can accomplish when moving in different directions. The union can give the MD valuable feedback on wants and barriers to implementation, and the MD can get an idea of how to effectively introduce change to the department with wide support. I’m fortunate to get to work with Selena Xie, who is smart, politically savvy, collaborative, and has an eye for the immediate future and years down the line. https://atcomd.files.wordpress.com/2019/12/ep-32-talking-with-the-union-prez.m4a…

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Episode 31: Headache 31:56

il y a 6 years31:56

31:56

Some causes of headache are benign, but the EMS provider would be wise to consider carefully some “bad actors” that cause headache. Here we will talk too about how to manage these patients in the prehospital setting. Photo by Alexander Dummer on Pexels.com https://atcomd.files.wordpress.com/2019/12/ep-31-headache.m4a…

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Episode 30: Meditation and mindfulness for the first responder with Jessica Sasser, RN 27:10

il y a 6 years27:10

27:10

Jessica Sasser, RN, is one of the amazing staff at our public safety wellness division which supports the physical and mental health of Austin/Travis County EMS and Austin Fire Department. In this episode she discusses meditation and how it can be useful to the first responder. Hint: it doesn’t just make you feel better, it makes you better. Please don’t meditate while driving. Resources for ATCEMS and AFD employees can be found at: atxpublicsafetywellness.com Insight Timer can be downloaded from the Apple app store. https://atcomd.files.wordpress.com/2019/10/episode-30-jessica-sasser.m4a…

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Episode 29: Medic to PA to MD 19:21

il y a 6 years19:21

19:21

https://atcomd.files.wordpress.com/2019/04/ep-29-medic-to-pa-or-md.m4a Combat medic, paramedic, PA, and now medical student Andy Fisher talks about his journey. If you’ve thought about making the leap from #EMS, don’t miss this episode.

Austin-Travis County EMS System Office of the Medical Director » Uncategorized

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Episode 28: Andy Fisher talks BLOOD 26:55

il y a 6 years26:55

26:55

https://atcomd.files.wordpress.com/2019/04/ep-28-andy-fisher-talks-blood.m4a In patients with hemorrhage, nothing else can take the place of #blood. Andy Fisher talks about why, and how, you can bring #blood to your #EMS system.

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Episode 27: Syncope 18:00

il y a 6 years18:00

18:00

https://atcomd.files.wordpress.com/2019/05/ep-27-syncope.m4a Syncope, or fainting, is an incredibly common complaint seen by #EMS providers. This short episode discusses some of the exam findings and considerations. The Epsilon wave: https://litfl.com/epsilon-wave-ecg-library/ Wolff Parkinson White syndrome: https://www.youtube.com/watch?v=K098rnvqRE0 Lown Ganong Levine syndrome: https://ecglibrary.com/lgl.html…

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Episode 26: EtCO2 19:59

il y a 6 years19:59

19:59

If you are not using #EtCO2 during airway management and monitoring, then you are wrong. Fix yourself. Dr. Pickett tells you why. #EMS #Prehospital #Paramedic #maybeifIsqueezethisbagashardandfastasIcanthepatientwillgetbetter #morewavylines #butIjustlearnedEKGs #Isawthetubegothroughthecords #sodideveryonewhoevermisplacedanETtube https://atcomd.files.wordpress.com/2019/02/ep-26-etco2.m4a…

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Episode 25: Tracheostomy Disasters 26:58

il y a 7 years26:58

26:58

https://atcomd.files.wordpress.com/2019/01/ep-25-tracheostomy-disasters.m4a Do you get nervous when you are faced with a patient with a tracheostomy tube? This short episode covers common problems and how to troubleshoot them. Be nervous no more. #paramedic #EMS #prehospital #criticalcare In this episode, I make reference to a couple of great YouTube videos on the subject. One is from RT Clinic on the ins and outs of tracheostomy devices. The other is from The Crashing Patient Series from the University of Maryland and goes into greater depth on care of the crashing tracheostomy patient.…

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Episode 24: New Clinical Operating Guidelines 36:37

il y a 7 years36:37

36:37

https://atcomd.files.wordpress.com/2019/01/ep-24-new-clinical-operating-guidelines.m4a We undertook the unenviable task of revising our clinical operating guidelines to make them more usable, more manageable, and easier to read. We want to foster a clinician mindset and embrace the clinical flexibility medics need to take care of our patients in a very fluid environment. We also created new credentialing levels for medics to expand their current horizons.…

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Episode 23: Flight Rules 16:22

il y a 7 years16:22

16:22

https://atcomd.files.wordpress.com/2019/01/ep-23-flight-rules.m4a Today we are covering some of the flight rules for those studying for their #FP-C exam. #paramedic #EMS #prehospital #HEMS

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Episode 22: Flight Physiology, Part 3/3 11:07

il y a 7 years11:07

11:07

https://atcomd.files.wordpress.com/2019/01/ep-22-flight-physiology-part-3.m4a Today we are covering a bit of #flight physiology for those studying for their #FP-C exam. We broke this episode into 3 parts to make it a bit more manageable. #paramedic #EMS #prehospital #HEMS

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Episode 21: Flight Physiology, Part 2/3 20:25

il y a 7 years20:25

20:25

https://atcomd.files.wordpress.com/2019/01/ep-21-flight-physiology-part-2.m4a Today we are covering a bit of #flight physiology for those studying for their #FP-C exam. We broke this episode into 3 parts to make it a bit more manageable. #paramedic #EMS #prehospital #HEMS

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Episode 20: Flight Physiology Part 1/3 14:09

il y a 7 years14:09

14:09

https://atcomd.files.wordpress.com/2019/01/ep-20-flight-physiology-part-1.m4a Today we are covering a bit of #flight physiology for those studying for their #FP-C exam. We broke this episode into 3 parts to make it a bit more manageable. #paramedic #EMS #prehospital #HEMS

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Episode 19: Heat illness 41:31

il y a 7 years41:31

41:31

https://atcomd.files.wordpress.com/2018/06/ep-19-heat-illness1.m4a Heat illness ranges from the benign and temporary to the life-threatening. We dive into management of heat cramps, heat syncope, heat exhaustion, and heat stroke. Rule #1: Stay on scene to cool them down.

Austin-Travis County EMS System Office of the Medical Director » Uncategorized

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Episode 18: Trauma reports 21:20

il y a 7 years21:20

21:20

In person and on the radio, make the most of your concise patient report. https://atcomd.files.wordpress.com/2018/06/ep-18-trauma-reports1.m4a

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Episode 17: The monitor should stay on. 6:10

il y a 7 years6:10

6:10

If you felt the need to put a #cardiac monitor on at any point in the patient interaction, it should stay on as you walk into the ED. #EMS #paramedic #prehospital https://atcomd.files.wordpress.com/2018/06/ep-17-cardiac-monitor-stays-on1.m4a

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Episode 16: Airway Pearls 36:45

il y a 7 years36:45

36:45

We dug into our QA data and the literature to bring you some pearls on #prehospital #airway management. #EMS #paramedic https://atcomd.files.wordpress.com/2018/06/ep-16-airway-pearls.m4a

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Episode 15: Sepsis 35:12

il y a 7 years35:12

35:12

750,000 Americans will suffer from sepsis this year. Early recognition and treatment are key. Here we go into the field recognition of sepsis and treatment priorities. https://atcomd.files.wordpress.com/2018/06/ep-15-sepsis.m4a

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Episode 14- Fast facts for response to bombing victims 17:40

il y a 7 years17:40

17:40

This is a short episode on the response to and care for bombing victims for #EMS, #Firedepartement and #Police. A longer episode will follow that covers #prehospital care in detail, but this is the initial response and considerations. #packagebombmurders #austinbombings @ATCEMS @Austin_police @austinfiredepartment @TxDPS @TravisCoSheriff @CommitteeTECC @CommitteeonTCCC @NTOATEMS Find us on @iTunes and @GooglePlay and @feedburner https://atcomd.files.wordpress.com/2018/03/ep-14-bombings-short-episode.m4a…

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Episode 13: Cannabis Hyperemesis Syndrome 14:21

il y a 7 years14:21

14:21

https://atcomd.files.wordpress.com/2018/02/ep-13-cannabis-hyperemesis-syndrome.m4a Neither rare nor mysterious, Cannabis Hyperemesis Syndrome causes pain and vomiting that can be difficult to treat. Marijuana use is growing for medical purposes and recreational abuse. With this has come a rise in Cannabis Hyperemesis Syndrome which is marked by recurrent, severe abdominal pain and vomiting that does not respond well to the usual antiemetics. Dr. Pickett discusses the causes and treatment of this disorder which we will recognize in increasing numbers with increased marijuana availability.…

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Episode 12: Trauma Resuscitation 1:22:27

il y a 8 years1:22:27

1:22:27

https://atcomd.files.wordpress.com/2018/02/ep-12-trauma-resuscitation.m4a Fluid resuscitation, blood, acidosis, coagulopathy, hypothermia, TXA, intubation, push dose pressors! All the greatest trauma lit for your naughty bits.

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Episode 11: MRI for acute stroke- screening in the field 44:36

il y a 8 years44:36

44:36

In this episode we sat down with Dr. Steven Warach the Director of the Clinical Research Institute and Vascular Neurologist from Dell Seton Medical Center to talk about acute MRI for stroke and how we might be able to reduce the time to treatment. 3 questions comprise the safety screen: Do you have any implanted electronics like a pacemaker or defibrillator? Do you have any vascular clips in your brain? Do you have any metal fragments in your body? https://atcomd.files.wordpress.com/2018/01/ep-11-stroke-mri.m4a…

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Episode 10: Asthma! 31:04

il y a 8 years31:04